Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of clavicle58150001
- Start
- 2023-08-29
- Stop
- 2023-08-29
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-d56a-24d1a809b611