Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 1999-12-15illness from the same day
- Status
- Closedlast billed 1999-12-15 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Not in labor force · 741062008diagnosis concept Stress · 73595000
- Billed for
- medication concept amLODIPine 2.5 MG Oral Tabletcode 308136
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-182e-833139408c79