Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Visit
- visit Well child visit
- Serviced
- 2017-03-30illness from the same day
- Status
- Closedlast billed 2017-03-30 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-8ba8-9584884e29dd