Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-20
- Stop
- 2021-05-20
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-9943-d8ee74cc9a62