Claim total
$1,508.26
base $93.39 · payer covered $1,458.26
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2005-01-05
- Stop
- 2005-01-05
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
03eafe4d-23cd-eb61-6c6f-f84f7cdf9a9f