Charged
$204.97
$204.97 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2015-11-16illness from the same day
- Status
- Closedlast billed 2015-11-16 · type 1
- Diagnoses
- diagnosis concept Unemployedcode 73438004
- 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-cf98-625e8740bc67