Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Seasonal allergic rhinitis367498001
- Start
- 2005-01-16
- Stop
- 2005-01-16
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-a526-633dc8de1722