Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-10
- Stop
- 2021-05-10
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Trinity Mraz
Record id
017647b2-914f-2bdf-4853-d335174d489b