Charged
$982.78
$982.78 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 2021-03-25illness from the same day
- Status
- Closedlast billed 2021-03-26 · type 1
- Diagnoses
- diagnosis concept Part-time employmentcode 160904001diagnosis concept Gingivitis · 66383009
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of health and social care needs · 710824005procedure concept Screening for domestic abuse · 866148006procedure concept Assessment of substance use · 428211000124100
2 more billed codes
procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001procedure 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-c869-0391b7182912