Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Ambulatory
- Code
- 47505003
- Reason
- diagnosis concept Posttraumatic stress disorder47505003
- Start
- 2009-09-28
- Stop
- 2009-09-28
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Avery Mayer
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-f0e5-d7b109c6d8c0