Claim total
$872.33
base $93.39 · payer covered $822.33
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 1953-03-27
- Stop
- 1953-03-27
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
028512d5-49bb-87e7-965a-b6fc93e334a7