Charged
$357.88
$357.88 paid
The claim
- Patient
- patient Adam Jones
- Serviced
- 2022-06-11illness from the same day
- Status
- Closedlast billed 2022-06-11 · type 1
- Diagnoses
- diagnosis concept Fracture of bonecode 125605004diagnosis concept Fracture of forearm · 65966004
- Billed for
- medication concept Naproxen sodium 220 MG Oral Tabletcode 849574
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-565b-5aa92d5499b5