Claim total
$136.89
base $93.39 · payer covered $109.51
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2014-08-03
- Stop
- 2014-08-03
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-e61c-1aa5992a1b42