Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2023-10-13
- Stop
- 2023-10-13
The parties
- Patient
- patient Daron Cormier
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
061edbc8-fb70-a6fd-9fe8-2ee859b55520