Claim total
$2,303.35
base $93.39 · payer covered $2,253.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2021-03-21
- Stop
- 2021-03-21
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-646b-1f9e74634156