Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2019-10-28
- Stop
- 2019-10-28
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Damien Langosh
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-4ba3-90677d4df796