Claim total
$1,099.46
base $93.39 · payer covered $1,099.46
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1998-01-16
- Stop
- 1998-01-16
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-4324-7be904dce1fe