Claim total
$504.69
base $93.39 · payer covered $217.35
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2022-11-28
- Stop
- 2022-11-28
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Katrina Romaguera
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-055c-8bff52c6e1d0