Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Concussion with no loss of consciousness62106007
- Start
- 2018-08-06
- Stop
- 2018-08-06
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Pasquale Grimes
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-dd76-7edaa8407113