Charged
$801.22
$801.22 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2003-10-01illness from the same day
- Status
- Closedlast billed 2003-10-01 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept End-stage renal disease · 46177005
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of health and social care needs · 710824005procedure concept Assessment of anxiety · 710841007procedure concept Assessment using Morse Fall Scale · 762993000
1 more billed code
procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-1d13-5bc267be3bda