Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1970-05-01
- Stop
- 1970-05-01
The parties
- Patient
- patient Ines Shiloh Jacobi
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
25075e04-8a2f-41db-18c1-b85fc22176f4