Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2022-01-14
- Stop
- 2022-01-14
The parties
- Provider
- provider Marcus Douglas
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-ae9a-9b6b0188b44f