Claim total
$757.81
base $93.39 · payer covered $722.81
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-10-19
- Stop
- 2022-10-19
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Criselda Bartell
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-c226-30a21e3026df