Claim total
$1,517.13
base $93.39 · payer covered $1,467.13
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-03-13
- Stop
- 2024-03-13
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Andria Spinka
- Payer
- payer Medicaid
Record id
0324eea5-bb16-c29a-9d66-163a927d01b6