Claim total
$93.42
base $93.39 · payer covered $58.42
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-11-30
- Stop
- 2023-11-30
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Heriberto Smitham
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-cf50-9b1047c1247e