Claim total
$2,101.17
base $93.39 · payer covered $514.54
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2025-01-28
- Stop
- 2025-01-28
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Harold Hagenes
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-0f70-a0aee16bceb5