Charged
$961.02
$961.02 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Visit
- visit Well child visit
- Serviced
- 2016-09-29illness from the same day
- Status
- Closedlast billed 2016-09-29 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- Billed for
- procedure concept Medication reconciliationcode 430193006
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-baa7-be3c73ddfa95