Claim total
$978.26
base $155.66 · payer covered $943.26
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2020-01-13
- Stop
- 2020-01-13
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-b543-bd8fa2eb58b2