Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2022-03-15
- Stop
- 2022-03-15
The parties
- Patient
- patient Abdul Sammie Spencer
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
009b9fb1-8515-f33d-0ce3-c8df4f759f0a