Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1990-10-10
- Stop
- 1990-10-10
The parties
- Patient
- patient Maurice Palmer Stamm
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
2924da49-d719-85a1-a719-42ae7617c249