Claim total
$244.01
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-05-22
- Stop
- 2024-05-22
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-0655-6866b34703ba