Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-31
- Stop
- 2021-05-31
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Irmgard Padberg
- Payer
- payer Aetna
Record id
01e5652d-7e46-45b8-c329-a6435938e1c0