Claim total
$94.26
base $93.39 · payer covered $75.41
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2012-05-10
- Stop
- 2012-05-11
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-9507-9594b53d7f77