Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-31
- Stop
- 2021-03-31
The parties
- Patient
- patient Carolee Shenna Franecki
- Provider
- provider Ross Stehr
Record id
05da998f-3dd0-aeca-3523-e23eff642d6b