Claim total
$888.70
base $93.39 · payer covered $838.70
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2016-04-25
- Stop
- 2016-04-25
The parties
- Patient
- patient Salvador Hernán Marrero
- Provider
- provider Sharla Ziemann
- Payer
- payer Medicaid
Record id
003934f5-fa99-8d07-a6f2-becec87a6ccb