Claim total
$915.99
base $93.39 · payer covered $732.79
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Adolescent idiopathic scoliosis203646004
- Start
- 2010-11-28
- Stop
- 2010-11-28
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Meagan Mann
- Payer
- payer Medicare
Record id
03e24eff-3793-eaeb-a1b2-0f8c395d5f19