Claim total
$3,383.79
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2022-11-25
- Stop
- 2022-11-25
The parties
- Patient
- patient Lincoln Reyes Hansen
- Provider
- provider Burton O'Conner
- Payer
- payer Humana
Record id
036e82a1-5d34-0b1d-a7f6-d04bc1a76fd5