Charged
$5.91
$5.91 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2004-05-19illness from 2003-12-18
- Status
- Closedlast billed 2004-05-31 · 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-44d7-94b2-18bb-4e54d8fda8bb