Charged
$213.24
$213.24 paid
The claim
- Patient
- patient Adam Jones
- Serviced
- 2019-11-03illness from the same day
- Status
- Closedlast billed 2019-11-03 · 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-e769-8779-1de2-5f8fb29d3bf1