Claim total
$1,640.14
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2022-01-24
- Stop
- 2022-01-24
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Silas Conn
- Payer
- payer Aetna
Record id
03f9d33d-12ca-f1a8-a228-de89461d21c9