Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Major depression, single episode36923009
- Start
- 1980-01-01
- Stop
- 1980-01-01
The parties
- Patient
- patient Elton Pierre Cummerata
- Provider
- provider Lynelle Ankunding
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
10e19c97-2fb2-0e88-de39-f66eeca8066c