Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-03
- Stop
- 2021-04-03
The parties
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-1409-6991eb5588ad