Charged
$632.61
$632.61 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Visit
- visit Well child visit
- Serviced
- 2017-09-28illness from the same day
- Status
- Closedlast billed 2017-09-28 · type 1
- Billed for
- procedure concept Medication reconciliationcode 430193006
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-4225-1d673665d5ae