Claim total
$906.27
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2003-06-27
- Stop
- 2003-06-27
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Criselda Bartell
- Payer
- payer No insurance
Record id
023d14fa-8b29-07fb-4a66-c5b84b5d5157