Claim total
$93.46
base $93.39 · payer covered $58.46
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-07-19
- Stop
- 2021-07-19
The parties
- Provider
- provider Janette Fisher
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-d7c9-cc02f558d02d