Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2020-02-10
- Stop
- 2020-02-10
The parties
- Provider
- provider Damien Langosh
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-26ff-7ba759b1cab1