Claim total
$936.77
base $93.39 · payer covered $786.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2018-02-13
- Stop
- 2018-02-13
The parties
- Patient
- patient Tyrone Gerry Nolan
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0372df5d-1b51-df61-18ed-200473c819f2