Charged
$978.26
$978.26 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2004-01-07illness from 2003-10-29
- Status
- Closedlast billed 2004-01-07 · type 1
- Diagnoses
- diagnosis concept History of renal transplantcode 161665007
- Billed for
- procedure concept Renal disorder medication reviewcode 473231009procedure concept Transplantation of kidney regime · 711446003
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-0b09-884b085d20d6