Claim total
$75.00
base $75.00 · payer covered $40.00
The visit
- Class
- Virtual
- Code
- 185349003
- Reason
- diagnosis concept Concussion with no loss of consciousness62106007
- Start
- 2026-02-22
- Stop
- 2026-02-22
The parties
- Provider
- provider Liz Kozey
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-9458-6489a95907a4