Claim total
$915.99
base $93.39 · payer covered $880.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2025-02-04
- Stop
- 2025-02-04
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-58ea-9025abb63df0