Charged
$0.32
$0.32 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Serviced
- 2016-04-25illness from the same day
- Status
- Closedlast billed 2016-04-25 · type 2
- Diagnoses
- diagnosis concept Anemiacode 271737000
- Billed for
- medication concept ferrous sulfate 325 MG Oral Tabletcode 310325
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-adb5-a779f9f8ef35