Claim total
$1,284.04
base $93.39 · payer covered $1,284.04
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1996-01-12
- Stop
- 1996-01-12
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-89da-8630ccd825ac