Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-03-13
- Stop
- 2010-03-13
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Leta Sipes
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-3773-f1d350a61c59