Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2023-06-24
- Stop
- 2023-06-24
The parties
- Patient
- patient Louella Roberts
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
05092f50-4c35-2d72-f3b8-8bce2fbe058e