Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1997-02-24
- Stop
- 1997-02-24
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Harold Hagenes
- Payer
- payer No insurance
Record id
02404bb7-0f7d-3a30-8b44-424cc6c01a08