Claim total
$305.44
base $93.39 · payer covered $244.35
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2009-01-24
- Stop
- 2009-01-24
The parties
- Provider
- provider Michael Dibbert
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-463a-d52e3ecdb59d