Claim total
$150.91
base $93.39 · payer covered $120.73
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Posttraumatic stress disorder47505003
- Start
- 1999-02-11
- Stop
- 1999-02-11
The parties
- Patient
- patient Dannie Timmy Koepp
- Provider
- provider Avery Mayer
- Payer
- payer Medicare
Record id
25f2b1e8-809d-dfd9-30d9-c2b914cefe46