Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1983-03-17
- Stop
- 1983-03-17
The parties
- Patient
- patient Marx Yundt
- Provider
- provider Valene O'Conner
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
2db0bb26-6b9a-0465-556d-4a7b8c05d04e