Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2018-06-19
- Stop
- 2018-06-19
The parties
- Patient
- patient Terese Darla Williamson
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
0098424c-ec2c-0924-7154-c06bf47ee108