Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2020-10-24
- Stop
- 2020-10-24
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-cae5-8297007a14a0