Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2003-10-01illness from the same day
- Status
- Closedlast billed 2003-10-01 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept End-stage renal disease · 46177005
- 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-44d7-94b2-22c7-50a1d4cc4506