Claim total
$1,524.51
base $93.39 · payer covered $1,524.51
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2016-10-03
- Stop
- 2016-10-03
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-9436-65a95abbec12