Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2018-03-31
- Stop
- 2018-03-31
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Tomas Waelchi
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-3475-d6da50333760