Claim total
$1,355.65
base $93.39 · payer covered $1,305.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2020-10-08
- Stop
- 2020-10-08
The parties
- Patient
- patient Elliot Blaine Buckridge
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
00a5a31e-a2f8-175f-70da-31b4d9ab5b35