Claim for Donny Wilfred Ruecker — 2005-07-20

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for check up

Serviced

2005-07-20illness from the same day

Status

Closedlast billed 2005-07-20 · type 1

Diagnoses

diagnosis concept Limited social contactcode 423315002

Billed for

medication concept 24 HR tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]code 1664463

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full