Charged
$15,073.26
$15,073.26 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2021-12-20illness from the same day
- Status
- Closedlast billed 2021-12-20 · type 1
- Diagnoses
- diagnosis concept Full-time employmentcode 160903007diagnosis concept Limited social contact · 423315002
- Billed for
- procedure concept Spirometrycode 127783003procedure concept Pulmonary rehabilitation · 15081005procedure concept Medication reconciliation · 430193006procedure concept Assessment of health and social care needs · 710824005
3 more billed codes
procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-d830-184a69bc6dd0