Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1977-10-24
- Stop
- 1977-10-24
The parties
- Patient
- patient Wallace Satterfield
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
10d1a759-f6f4-0e89-36bd-d6c6ac21bfec