Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-22
- Stop
- 2021-05-22
The parties
- Patient
- patient Arlen Schamberger
- Provider
- provider Harold Hagenes
- Payer
- payer No insurance
Record id
01ee9e96-5701-e5d2-f9e3-34f99605c7c9