Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2014-07-19
- Stop
- 2014-07-19
The parties
- Patient
- patient Eddy Garland Morar
- Provider
- provider Valene O'Conner
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0c6407eb-c959-7ed3-1ead-3e9bdc36d5f2