Claim total
$846.34
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1970-01-22
- Stop
- 1970-01-23
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Floyd Toy
- Payer
- payer No insurance
Record id
059a4886-0567-3ca6-0e6c-001564f8d5db