Claim total
$962.09
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-02-01
- Stop
- 2022-02-01
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Ross Stehr
- Payer
- payer Aetna
Record id
03f9d33d-12ca-f1a8-a0ad-79be64920a5c