Charged
$846.34
$846.34 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Serviced
- 1970-01-16illness from the same day
- Status
- Closedlast billed 1970-01-16 · type 2
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003b30a0-7fd2-f42c-2a1a-cdb7b660f36c