Claim total
$150.91
base $93.39 · payer covered $120.73
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Posttraumatic stress disorder47505003
- Start
- 1999-01-06
- Stop
- 1999-01-06
The parties
- Patient
- patient Owen Moen
- Provider
- provider Freeda Mills
- Payer
- payer Medicare
Record id
2f17d29a-ecaf-d52e-6347-3a1906158a8d