Claim total
$1,013.81
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2014-05-28
- Stop
- 2014-05-28
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Pasquale Grimes
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-31b3-2a93fcc1dfc1