Claim total
$1,754.82
base $93.39 · payer covered $1,754.82
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2016-10-10
- Stop
- 2016-10-10
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-a92c-8bc19497dc2e