Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-03-23
- Stop
- 2020-03-23
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Dale Mertz
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-bb16-3ec55c1243dd