Claim total
$755.06
base $93.39 · payer covered $604.07
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2015-05-28
- Stop
- 2015-05-29
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-c69f-6421344c5e15