Claim total
$3,383.79
base $93.39 · payer covered $2,368.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2018-02-18
- Stop
- 2018-02-18
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Leta Sipes
Record id
00cb11fd-f3f7-0950-3e79-8974349ec75d