Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2018-04-21
- Stop
- 2018-04-21
The parties
- Patient
- patient Nona Samara Gleichner
- Provider
- provider Pasquale Grimes
- Payer
- payer Humana
Record id
0042ca65-dd9d-7221-e387-4a06f3d23103