Claim total
$776.69
base $93.39 · payer covered $741.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2015-04-27
- Stop
- 2015-04-27
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Lovie Turcotte
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-2ac9-f1f6a884ed9c