Claim total
$291.66
base $155.66 · payer covered $46.93
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-09-10
- Stop
- 2021-09-10
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-91ea-0c6766414fc1