Claim total
$95.87
base $93.39 · payer covered $76.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2009-11-29
- Stop
- 2009-11-29
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Jong King
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-19cf-db78695a6099