Claim total
$776.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-11-17
- Stop
- 2014-11-17
The parties
- Patient
- patient Albert Gaylord Kiehn
- Provider
- provider Harold Hagenes
Record id
03865fba-8cf7-44f6-54b7-61190ecbc8d6