Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Adam Jones
- Visit
- visit Well child visit
- Serviced
- 1995-06-05illness from the same day
- Status
- Closedlast billed 1995-06-05 · type 1
- Diagnoses
- diagnosis concept Risk activity involvementcode 160968000
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-a8f2-0f1636809edc