Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2024-09-30
- Stop
- 2024-09-30
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Leta Sipes
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-8213-1839b74cd392