Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Child attention deficit disorder192127007
- Start
- 2020-09-20
- Stop
- 2020-09-20
The parties
- Patient
- patient Roman Houston Russel
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
0ea56370-2865-b4d8-7367-f416de3ed4af