Claim total
$1,202.17
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2020-03-16
- Stop
- 2020-03-16
The parties
- Patient
- patient Otha Jewel Ankunding
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
01bd7d75-9405-280a-db9a-b3b978d3a81f