Claim total
$3,037.06
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2022-02-15
- Stop
- 2022-02-15
The parties
- Patient
- patient Nicholas Aron Ferry
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
00710614-34f5-5b84-ce7c-44ce1699da1c