Claim total
$2,384.84
base $93.39 · payer covered $2,234.84
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2021-11-10
- Stop
- 2021-11-10
The parties
- Patient
- patient Gerardo Marvin Johns
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
01513b97-46a6-1303-7ab0-6c6893529698