Claim total
$893.81
base $93.39 · payer covered $858.81
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-09-30
- Stop
- 2020-09-30
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Andria Spinka
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-15c9-49dece1bb739