Charged
$949.77
$949.77 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
- procedure concept Plain X-ray of humeruscode 713026007procedure concept Bone immobilization · 274474001
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-d29a-bf68d4741fbe