Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2003-10-29illness from the same day
- Status
- Closedlast billed 2003-10-31 · type 1
- Diagnoses
- diagnosis concept Awaiting transplantation of kidneycode 698306007diagnosis concept History of renal transplant · 161665007
- Billed for
- medication concept 24 HR tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]code 1664463
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-20da-b53c0272bc1a