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
- 2026-05-09
- Stop
- 2026-05-09
The parties
- Patient
- patient Sammy Connelly
- Provider
- provider Cheryll Willms
- Payer
- payer No insurance
Record id
0f125ecc-9c72-2557-e3ba-f7d10f5d87b9