Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1991-11-16
- Stop
- 1991-11-16
The parties
- Patient
- patient Heath Cleo Dicki
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1d824c5f-111e-26ef-3fc6-02e7c8e360e5