Claim total
$3,021.53
base $93.39 · payer covered $2,971.53
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2025-04-30
- Stop
- 2025-04-30
The parties
- Patient
- patient Terese Darla Williamson
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
0098424c-ec2c-0924-46f7-4b46252ec141