Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Rheumatoid arthritis69896004
- Start
- 2017-12-02
- Stop
- 2017-12-02
The parties
- Patient
- patient Lezlie Torp
- Provider
- provider Lavina Reichel
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
109e9a50-b505-db69-c2f8-4f057d973a5f