Claim total
$94.10
base $93.39 · payer covered $75.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-11-01
- Stop
- 2019-11-01
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-e085-fe621e997c2c