Claim for Donny Wilfred Ruecker — 2003-10-22

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for problem

Serviced

2003-10-22illness from the same day

Status

Closedlast billed 2003-10-22 · type 1

Diagnoses

diagnosis concept End-stage renal diseasecode 46177005

Billed for

medication concept 1 ML Epoetin Alfa 4000 UNT/ML Injection [Epogen]code 205923

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full