Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2012-05-17
- Stop
- 2012-05-17
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Dale Mertz
- Payer
- payer Anthem
Record id
00162663-d9d1-4955-6ae3-08143ac6b7c0