Claim total
$504.69
base $93.39 · payer covered $217.35
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 1999-09-13
- Stop
- 1999-09-13
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-fd7c-7bf3aa07854e