Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1966-05-27
- Stop
- 1966-05-27
The parties
- Patient
- patient Clara O'Conner
- Provider
- provider Lawrence Lemke
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0f6ac757-f138-648f-4cd4-ab60e811b192