Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1995-09-29
- Stop
- 1995-09-29
The parties
- Patient
- patient Toney Jerrold Thiel
- Provider
- provider Burton O'Conner
- Payer
- payer Humana
Record id
20a5801b-111d-378f-7689-b3cf77f6a2a6