Claim total
$425.60
base $93.39 · payer covered $425.60
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-12-04
- Stop
- 2019-12-04
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-d92d-1628b06f3549