Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Child attention deficit disorder192127007
- Start
- 2013-08-26
- Stop
- 2013-08-26
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Cheryll Willms
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-c39b-ed3cf52b2be0