Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2022-12-31
- Stop
- 2022-12-31
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Floyd Toy
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-c152-bcfe71f1dc91