Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1975-01-02
- Stop
- 1975-01-02
The parties
- Patient
- patient Ardell Balistreri
- Provider
- provider Antonetta Lubowitz
Record id
225082dc-9ef3-4a84-053e-f252e9ec3638