Charged
$291.66
$291.66 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2021-04-05illness from the same day
- Status
- Closedlast billed 2021-04-05 · type 2
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-ac5b-1a73c446dea5