Claim for Maria Dibbert — 2019-12-23

Patient

patient Maria Dibbert

Visit

visit Encounter for check up

Serviced

2019-12-23illness from the same day

Status

Closedlast billed 2019-12-23 · type 2

Billed for

procedure concept antigen testing for a public health related pathogen, including coronaviruscode D0604

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full