Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-03
- Stop
- 2021-05-03
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Burton O'Conner
- Payer
- payer Aetna
Record id
01e5652d-7e46-45b8-cceb-413aaf35185b