Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2001-05-30
- Stop
- 2001-05-30
The parties
- Patient
- patient Ellis Dooley
- Provider
- provider Marcus Douglas
- Payer
- payer Humana
Record id
102ec4ce-836b-a335-d286-a16a9dd89ff3