Claim total
$969.88
base $93.39 · payer covered $919.88
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2018-12-25
- Stop
- 2018-12-25
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-4d81-fa32948e8421