Claim total
$1,095.00
base $93.39 · payer covered $1,045.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2022-01-22
- Stop
- 2022-01-22
The parties
- Provider
- provider Rosio Gleason
- Payer
- payer Medicaid
Record id
03d1ce86-efe3-018d-4f3a-fafc7ec2295f