Claim total
$732.40
base $93.39 · payer covered $697.40
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-03-28
- Stop
- 2018-03-28
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Antonietta Purdy
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-4ce5-b9974e398027