Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2022-12-11
- Stop
- 2022-12-11
The parties
- Patient
- patient Joey Douglass Watsica
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
38b6778d-de33-741a-17e5-a9f5fcb0bcbd