Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2022-06-02
- Stop
- 2022-06-02
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicare
Record id
032000cf-30b4-7e9b-9df5-07c50fc81963