Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-19
- Stop
- 2021-04-19
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Pasquale Grimes
Record id
017647b2-914f-2bdf-1729-b2df2c16560c