Claim total
$1,517.13
base $93.39 · payer covered $1,213.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-05-17
- Stop
- 2017-05-17
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-0146-eac79ac9c6f8