Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2021-08-26
- Stop
- 2021-08-26
The parties
- Patient
- patient Tim Taylor Terry
- Provider
- provider Hazel Effertz
- Payer
- payer Humana
Record id
03607fcd-7c51-41c0-ebea-0c2fe4db3a68