Charged
$65.28
$65.28 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 1999-04-06illness from the same day
- Status
- Closedlast billed 1999-04-07 · type 1
- Diagnoses
- diagnosis concept Chronic kidney disease stage 4code 431857002
- Billed for
- medication concept 1 ML Epoetin Alfa 4000 UNT/ML Injection [Epogen]code 205923
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-1344-ed6da7e5fa56