Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2016-09-22
- Stop
- 2016-09-22
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Dale Mertz
- Payer
- payer Medicare
Record id
032000cf-30b4-7e9b-9614-f76702a4eda5