Claim total
$1,729.38
base $93.39 · payer covered $1,383.50
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 1994-04-29
- Stop
- 1994-04-29
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-e3bb-047dfbd4e1a0