Claim total
$156.03
base $93.39 · payer covered $106.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Posttraumatic stress disorder47505003
- Start
- 1999-01-05
- Stop
- 1999-01-05
The parties
- Patient
- patient Woodrow Brett Bruen
- Provider
- provider Avery Mayer
- Payer
- payer Medicaid
Record id
19bee1be-920a-c2f2-83cb-5e257145242e