Claim total
$1,203.24
base $93.39 · payer covered $1,153.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2016-10-31
- Stop
- 2016-10-31
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-1c9b-1614cf131502