Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1994-10-11
- Stop
- 1994-10-11
The parties
- Patient
- patient Jamie Alden Murray
- Provider
- provider Jo Stiedemann
- Payer
- payer Humana
Record id
397ff46a-d315-3590-b15e-4d09412e55a8