Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2002-02-26
- Stop
- 2002-02-26
The parties
- Patient
- patient Nenita Rempel
- Provider
- provider Valene O'Conner
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
2c74a427-4c12-fc10-7f9d-b5b767f06d40