Charged
$1,754.82
$1,754.82 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 1999-09-06illness from the same day
- Status
- Closedlast billed 1999-09-06 · type 1
- Diagnoses
- diagnosis concept Chronic kidney disease stage 4code 431857002
- Billed for
- procedure concept Renal dialysiscode 265764009
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-1a4a-0df84e5a9252