Claim total
$530.14
base $93.39 · payer covered $495.14
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-06-26
- Stop
- 2017-06-26
The parties
- Provider
- provider Janette Fisher
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-a9d0-889740d6dde7