Claim total
$2,084.27
base $93.39 · payer covered $1,667.41
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2009-03-26
- Stop
- 2009-03-27
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-3c25-adc8ef445f33