Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2024-04-07
- Stop
- 2024-04-07
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-0c27-10c092b975cf