Claim total
$710.34
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1937-01-12
- Stop
- 1937-01-12
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Hassie Beer
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-a2af-3a079e46b7e4