Claim total
$757.81
base $93.39 · payer covered $757.81
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1995-02-03
- Stop
- 1995-02-03
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-6b4d-1297de4fa9f5