Claim total
$104.52
base $93.39 · payer covered $83.61
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1993-11-28
- Stop
- 1993-11-28
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Amber Yost
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-1105-0cef1bed8214