Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Major depressive disorder370143000
- Start
- 1985-06-14
- Stop
- 1985-06-14
The parties
- Patient
- patient Tim Dane Considine
- Provider
- provider Tarah Koss
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
3192ff7d-d059-e73e-2749-3fc0a95379f0