Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-09-08
- Stop
- 2010-09-08
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Pasquale Grimes
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-1dfc-6eea065bb23a