Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Visit
- visit Urgent care clinic
- Serviced
- 2003-11-19illness from the same day
- Status
- Closedlast billed 2003-11-19 · type 1
- Diagnoses
- diagnosis concept Victim of intimate partner abusecode 706893006
- Billed for
- medication concept lisinopril 10 MG Oral Tabletcode 314076
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-207a-8d196c2800c1