Charged
$103.62
$103.62 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2022-12-26illness from the same day
- Status
- Closedlast billed 2022-12-26 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Part-time employment · 160904001diagnosis concept Stress · 73595000
- Billed for
- medication concept albuterol 5 MG/ML Inhalation Solutioncode 245314
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-4ac0-dbbaf1b49167