Charged
$299.48
$299.48 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Visit
- visit Well child visit
- Serviced
- 1970-05-15illness from the same day
- Status
- Closedlast billed 1970-05-15 · 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
003b30a0-7fd2-f42c-db51-66b35f56b01b