Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2019-12-04
- Stop
- 2019-12-04
The parties
- Provider
- provider Damien Langosh
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-4aee-5fade5441814