Claim total
$874.71
base $93.39 · payer covered $839.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 1985-04-25
- Stop
- 1985-04-25
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Hazel Effertz
- Payer
- payer Dual Eligible
Record id
04371635-b149-02a5-f61f-a9e50f2c1171