Charged
$908.61
$908.61 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Visit
- visit Urgent care clinic
- Serviced
- 2004-04-21illness from the same day
- Status
- Closedlast billed 2004-04-21 · type 1
- Diagnoses
- diagnosis concept Social isolationcode 422650009diagnosis concept Stress · 73595000
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of health and social care needs · 710824005procedure concept Assessment using Morse Fall Scale · 762993000procedure concept Assessment of substance use · 428211000124100
2 more billed codes
procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-0baf-ef2841510ffb