Claim total
$1,051.99
base $93.39 · payer covered $841.59
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-12-11
- Stop
- 2024-12-11
The parties
- Patient
- patient Saul Little
- Provider
- provider Tomas Waelchi
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0205c336-938f-d85a-e6f6-cfedb9c19bef