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Claim

Claim for Adam Jones — 2019-08-05

One bill, raised by a visit or a prescription.

Charged
$221.46
$221.46 paid

The claim

Serviced
2019-08-05illness from the same day
Status
Closedlast billed 2019-08-05 · type 2
Diagnoses
diagnosis concept Homelesscode 32911000
Billed for
procedure concept Information gatheringcode 311791003

Settlement

Coverage
payer Anthem no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 00229130-e769-8779-0594-a7e7459ad34e