Claim total
$3,383.79
base $93.39 · payer covered $2,520.63
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2024-09-26
- Stop
- 2024-09-26
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03d7ab8f-b989-4d49-1654-601c4cbac7ed