Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-12-09
- Stop
- 2017-12-09
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
0274bb53-c777-eb96-e8bd-a68bbc07ff7b