Claim total
$120.15
base $93.39 · payer covered $85.15
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-03-09
- Stop
- 2016-03-09
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Jong King
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-f543-da5bafc339c5