Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1990-01-12
- Stop
- 1990-01-12
The parties
- Patient
- patient Rafael Adán Toro
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
1f4dcbd7-f664-bb6e-752f-0fcd86f6c44f