Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Pok Shane Strosin
- Serviced
- 2016-04-11illness from the same day
- Status
- Closedlast billed 2016-04-11 · type 2
- Diagnoses
- diagnosis concept Perennial allergic rhinitiscode 446096008
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-f64f-2affb680fbe8