Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Seasonal allergic rhinitis367498001
- Start
- 2015-08-14
- Stop
- 2015-08-14
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
032000cf-30b4-7e9b-f5aa-37c14fe36569