Claim total
$1,500.63
base $93.39 · payer covered $1,450.63
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2003-03-31
- Stop
- 2003-03-31
The parties
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
04481159-34f8-6925-e4ce-db4f8d484dfc