Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 2026-04-23illness from the same day
- Status
- Closedlast billed 2026-04-24 · type 1
- Diagnoses
- diagnosis concept Gingivitiscode 66383009
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Depression screening · 171207006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Blue Cross Blue Shield no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003012ce-f819-e17b-c233-ba0f0b5e6c91