Charged
$710.34
$710.34 paid
The claim
- Patient
- patient Pok Shane Strosin
- Serviced
- 2024-10-09illness from the same day
- Status
- Closedlast billed 2024-10-09 · type 2
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of anxiety · 710841007procedure concept Depression screening · 171207006procedure concept Depression screening using Patient Health Questionnaire Nine Item score · 715252007
4 more billed codes
procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test · 868187001procedure concept Anticipatory guidance · 386516004procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-a733-ac941caec640