Claim total
$143.82
base $93.39 · payer covered $108.82
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-07-13
- Stop
- 2020-07-13
The parties
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-dfeb-1ee294f7a1be