Claim total
$3,383.79
base $93.39 · payer covered $3,333.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2020-02-25
- Stop
- 2020-02-25
The parties
- Patient
- patient Cristobal Dana Wolf
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
016cc0d6-9a88-e8dc-0469-6d41ec8293f6