Claim total
$915.99
base $93.39 · payer covered $765.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-11-17
- Stop
- 2017-11-17
The parties
- Patient
- patient Adrian Grady O'Keefe
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00a9bdc8-6b4d-5df7-c57a-ee68fde62fff