Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2015-07-09
- Stop
- 2015-07-09
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
032000cf-30b4-7e9b-0d5c-4be5a74db0c1