Claim total
$1,002.48
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2012-09-12
- Stop
- 2012-09-12
The parties
- Patient
- patient Tim Taylor Terry
- Provider
- provider Rosio Gleason
- Payer
- payer Humana
Record id
03607fcd-7c51-41c0-fe89-341eb97fd62d