Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Pok Shane Strosin
- Visit
- visit Well child visit
- Serviced
- 2014-05-14illness from the same day
- Status
- Closedlast billed 2014-05-14 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-ffe1-4364c2566aa7