Charged
$5,615.82
$5,615.82 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2020-07-20illness from the same day
- Status
- Closedlast billed 2020-07-28 · type 1
- Diagnoses
- diagnosis concept Sepsiscode 91302008diagnosis concept Acute respiratory distress syndrome · 67782005
- Billed for
- procedure concept Resuscitation using intravenous fluidcode 430701006procedure concept Transfer to stepdown unit · 449214001procedure concept Admission to intensive care unit · 305351004procedure concept Artificial ventilation · 40617009
1 more billed code
procedure concept Weaning from mechanically assisted ventilation · 243174005
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-2208-3a388db3fa18