Charged
$365.83
$365.83 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Visit
- visit Well child visit
- Serviced
- 1967-04-28illness from the same day
- Status
- Closedlast billed 1967-04-28 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003b30a0-7fd2-f42c-6177-f72229b79451