Claim total
$949.49
base $93.39 · payer covered $914.49
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-12-05
- Stop
- 2018-12-05
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Kim Lind
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-8c5c-0776ecdb9d1f