Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1994-10-21
- Stop
- 1994-10-21
The parties
- Patient
- patient Sherrie McLaughlin
- Provider
- provider Kristofer White
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3ac05078-eaa5-56d0-7337-75bc0decb694