Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1964-03-22
- Stop
- 1964-03-22
The parties
- Patient
- patient Freeman Winfred Erdman
- Provider
- provider Janette Fisher
- Payer
- payer Medicare
Record id
17dd8403-c3e7-454f-1b83-ac1cd3246739