Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2025-05-29
- Stop
- 2025-05-29
The parties
- Provider
- provider Damien Langosh
- Payer
- payer Humana
Record id
01552496-8a29-5071-2e3c-599cb1f5354c