Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2008-11-20
- Stop
- 2008-11-20
The parties
- Patient
- patient Felipe Dwain Keebler
- Provider
- provider Burton O'Conner
- Payer
- payer Humana
Record id
02f04cf4-122a-e8d3-a686-b336d8f74a03