Claim total
$7,478.03
base $93.39 · payer covered $5,982.40
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1987-08-13
- Stop
- 1987-08-13
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
04371635-b149-02a5-1fd8-7c3f91604c84