Claim total
$2,217.95
base $93.39 · payer covered $2,067.95
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-11-27
- Stop
- 2017-11-27
The parties
- Patient
- patient Tyrone Gerry Nolan
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0372df5d-1b51-df61-3834-b9133170e00c