Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of clavicle58150001
- Start
- 2024-07-04
- Stop
- 2024-07-04
The parties
- Patient
- patient Nona Samara Gleichner
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
0042ca65-dd9d-7221-dfd8-46772bc17b58