Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 1992-02-26illness from the same day
- Status
- Closedlast billed 1992-02-26 · type 1
- Diagnoses
- diagnosis concept Gingivitiscode 66383009
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-19e0-1ea5fc358090