Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2005-10-23
- Stop
- 2005-10-23
The parties
- Patient
- patient Clarence Curtis Johnson
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
18a704fb-0dc4-6adf-41fd-d3e3952ffcf8