Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2023-07-19
- Stop
- 2023-07-19
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Dale Mertz
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-a462-7dddc0d56f69