Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2024-09-13
- Stop
- 2024-09-13
The parties
- Patient
- patient Verónica Aponte
- Provider
- provider Jonas Pouros
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
06e89fd5-a4c2-2d41-5f16-e019ed66c088