Claim total
$387.23
base $93.39 · payer covered $309.78
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1987-08-27
- Stop
- 1987-08-27
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
04371635-b149-02a5-4791-ec564cfd2917