Claim total
$694.53
base $93.39 · payer covered $659.53
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-07-20
- Stop
- 2016-07-20
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-e309-6ae33a29376c