Charged
$87.84
$87.84 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2026-01-12illness from the same day
- Status
- Closedlast billed 2026-01-12 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- 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-e2b3-04ead4225f4d