Claim total
$915.99
base $93.39 · payer covered $769.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2018-01-08
- Stop
- 2018-01-08
The parties
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
04424811-b26b-3a54-943f-b5b29f5421a1