Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture subluxation of wrist263102004
- Start
- 1991-11-02
- Stop
- 1991-11-02
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-b7e8-3ad631e9084a