Charged
$433.80
$433.80 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2004-12-30illness from 2003-12-18
- Status
- Closedlast billed 2005-01-11 · type 1
- Diagnoses
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1code 424132000
- Billed for
- medication concept Cisplatin 50 MG Injectioncode 1736854
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-075a-ad9230bbded2