Claim total
$157.06
base $93.39 · payer covered $125.64
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-06-08
- Stop
- 2017-06-09
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-25c2-77b452b38c3c