Claim total
$915.99
base $93.39 · payer covered $865.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2016-10-10
- Stop
- 2016-10-10
The parties
- Patient
- patient Miles Auer
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
02b37b89-9593-6a10-7ad4-b97e5bb2ec51