Charged
$137.49
$137.49 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2017-11-27illness from the same day
- Status
- Closedlast billed 2017-11-27 · type 1
- Diagnoses
- diagnosis concept Part-time employmentcode 160904001diagnosis concept Social isolation · 422650009
- 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-5fed-7deb060fb93d