Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2001-06-30
- Stop
- 2001-06-30
The parties
- Patient
- patient Emmitt Pete Wunsch
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
1ef61da8-df8d-34a0-463a-215dfcdc8cb8