Charged
$1,463.73
$1,463.73 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2003-05-14illness from the same day
- Status
- Closedlast billed 2003-05-14 · type 1
- Diagnoses
- diagnosis concept Hyperlipidemiacode 55822004diagnosis concept Reports of violence in the environment · 424393004
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of health and social care needs · 710824005procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100
2 more billed codes
procedure concept Screening for drug abuse · 713106006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-267f-338748c96006