Visit
Physician visit with evaluation AND/OR management service
One dated clinical visit by one patient.
Claim total
$1,800.86
base $155.66 · payer covered $913.87
The visit
- Class
- Ambulatory
- Code
- 108219001
- Reason
- diagnosis concept Cerebral palsy128188000
- Start
- 2013-09-24
- Stop
- 2013-09-24
The parties
- Patient
- patient Amalia Ana María Soliz
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
007eb971-e9c1-129f-21ac-6976a8fab493