Claim total
$199.10
base $93.39 · payer covered $159.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-03-17
- Stop
- 2018-03-17
The parties
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-b94a-dbb747dfaebc