Claim total
$1,034.68
base $93.39 · payer covered $999.68
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-05-17
- Stop
- 2023-05-17
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-1c82-acfebe5f3782