Claim total
$640.69
base $93.39 · payer covered $590.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-05-26
- Stop
- 2022-05-26
The parties
- Patient
- patient Salvador Hernán Marrero
- Provider
- provider Silas Conn
- Payer
- payer Medicaid
Record id
003934f5-fa99-8d07-f3dd-8aa340211a48