Charged
$7.78
$7.78 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2005-09-18illness from 2003-12-18
- Status
- Closedlast billed 2005-09-24 · type 1
- Diagnoses
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1code 424132000
- Billed for
- medication concept PACLitaxel 100 MG Injectioncode 583214
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-171c-db4c66bb6b41