Claim total
$1,153.80
base $93.39 · payer covered $628.70
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-04-13
- Stop
- 2017-04-13
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Irmgard Padberg
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-28b2-038e44a7befb