Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Child attention deficit disorder192127007
- Start
- 2026-07-28
- Stop
- 2026-07-28
The parties
- Patient
- patient Bradly Sebastian Stehr
- Provider
- provider Rebeca Lomeli
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
16ca8200-6a76-b40e-d450-5f204f289d88