Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1963-06-16
- Stop
- 1963-06-16
The parties
- Patient
- patient Joaquín Rubén Aguilera
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
34f138ed-2da1-2355-c67e-bc4dd0c2e9f7