Claim total
$150.91
base $93.39 · payer covered $115.91
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Posttraumatic stress disorder47505003
- Start
- 2012-04-20
- Stop
- 2012-04-20
The parties
- Patient
- patient Harris Darin Mills
- Provider
- provider Avery Mayer
- Payer
- payer Dual Eligible
Record id
1e9a2bb2-1f89-235a-a871-fc117670387d