Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2014-11-10illness from the same day
- Status
- Closedlast billed 2014-11-10 · type 1
- Diagnoses
- diagnosis concept Prediabetescode 714628002
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-e044-c3847fad4ce1