Claim total
$1,382.81
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2011-09-13
- Stop
- 2011-09-14
The parties
- Patient
- patient Blake Rudolph Von
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
01986319-54e6-598a-d703-53ef73622d06