Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2025-07-08
- Stop
- 2025-07-08
The parties
- Patient
- patient Brian Becker
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
02d05adc-d769-f526-0ad3-9ffc0eae2877