Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2018-02-08
- Stop
- 2018-02-08
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Michael Dibbert
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-098d-5dbe33d27503