Charged
$2.92
$2.92 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2007-07-11illness from the same day
- Status
- Closedlast billed 2007-07-11 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- Billed for
- medication concept amLODIPine 2.5 MG Oral Tabletcode 308136
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-21cf-b4044960688b