Claim total
$915.99
base $93.39 · payer covered $546.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2021-05-08
- Stop
- 2021-05-08
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicare
Record id
01845754-7d83-d7eb-6c04-9875cdf8ed35