Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1996-05-10
- Stop
- 1996-05-10
The parties
- Patient
- patient Robert Lavern Schaefer
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
335b9834-6d45-11e5-e314-063a24818418