Claim total
$93.82
base $93.39 · payer covered $43.82
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-14
- Stop
- 2025-12-14
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-dd8d-262914631e22