Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Concussion with loss of consciousness62564004
- Start
- 2024-12-17
- Stop
- 2024-12-17
The parties
- Patient
- patient Terese Darla Williamson
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
0098424c-ec2c-0924-823b-a0086e4b6370