Claim for Donny Wilfred Ruecker — 2007-12-05

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for check up

Serviced

2007-12-05illness from the same day

Status

Closedlast billed 2007-12-05 · type 1

Diagnoses

diagnosis concept Full-time employmentcode 160903007diagnosis concept Reports of violence in the environment · 424393004

Billed for

medication concept insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin]code 106892

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full