Claim for Donny Wilfred Ruecker — 2003-10-01

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for check up

Serviced

2003-10-01illness from the same day

Status

Closedlast billed 2003-10-01 · type 1

Diagnoses

diagnosis concept Medication review duecode 314529007diagnosis concept End-stage renal disease · 46177005

Billed for

medication concept lisinopril 10 MG Oral Tabletcode 314076

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full