Claim total
$637.39
base $93.39 · payer covered $587.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-04-12
- Stop
- 2018-04-12
The parties
- Patient
- patient Salvador Hernán Marrero
- Provider
- provider Silas Conn
- Payer
- payer Medicaid
Record id
003934f5-fa99-8d07-e638-1823a8541f7b