Claim total
$93.52
base $93.39 · payer covered $58.52
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-07-02
- Stop
- 2023-07-02
The parties
- Provider
- provider Heriberto Smitham
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-88c8-2611f9dc52e6