Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1987-12-22
- Stop
- 1987-12-22
The parties
- Patient
- patient Warren Jacob McLaughlin
- Provider
- provider Valene O'Conner
- Care site
- care site MERCY HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
28f7ea40-8571-3254-efc9-cdb05feece12