Claim for Donny Wilfred Ruecker — 1999-09-22

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for problem

Serviced

1999-09-22illness from the same day

Status

Closedlast billed 1999-09-22 · type 1

Diagnoses

diagnosis concept Chronic kidney disease stage 4code 431857002

Billed for

medication concept 1 ML Epoetin Alfa 4000 UNT/ML Injection [Epogen]code 205923

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full