Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Perennial allergic rhinitis446096008
- Start
- 2016-04-11
- Stop
- 2016-04-11
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Dale Mertz
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-2597-d92725e5018a