Claim total
$7,967.41
base $75.00 · payer covered $7,917.41
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Child attention deficit disorder192127007
- Start
- 2026-01-16
- Stop
- 2026-01-16
The parties
- Patient
- patient Cristobal Dana Wolf
- Provider
- provider Verónica Delgado
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
016cc0d6-9a88-e8dc-27a5-3ea8aaa4545b