Charged
$6.53
$6.53 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2005-07-07illness from 2003-12-18
- Status
- Closedlast billed 2005-07-11 · 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-44d7-94b2-1f32-175c0c431e1f