Claim total
$900.18
base $93.39 · payer covered $630.14
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-05-04
- Stop
- 2016-05-04
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-3047-2fd01031e7eb