Claim total
$5,919.84
base $93.39 · payer covered $5,884.84
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1984-01-26
- Stop
- 1984-01-26
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
04371635-b149-02a5-70a2-5cf6cfc6979f