Claim total
$159.14
base $93.39 · payer covered $109.14
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Posttraumatic stress disorder47505003
- Start
- 2009-04-11
- Stop
- 2009-04-11
The parties
- Patient
- patient Sherlyn Clarice Schuppe
- Provider
- provider Avery Mayer
- Payer
- payer Medicaid
Record id
0b40911b-036e-86a4-5b35-4ff168c129b9