Claim total
$255.00
base $93.39 · payer covered $204.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-12
- Stop
- 2025-12-12
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-ca55-7c14528d50dd