Claim total
$126.77
base $93.39 · payer covered $101.41
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2001-03-08
- Stop
- 2001-03-08
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Jong King
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-f852-80148a4ba940