Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 183478001
- Reason
- diagnosis concept Asthma195967001
- Start
- 2024-07-27
- Stop
- 2024-07-27
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-f16a-f0f3775e1a7d