Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1972-09-10
- Stop
- 1972-09-10
The parties
- Patient
- patient Ginger Jamie Feil
- Provider
- provider Liz Kozey
- Payer
- payer Medicaid
Record id
291eef3f-a432-2174-2042-8329e3e6b927