Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2023-06-11
- Stop
- 2023-06-11
The parties
- Patient
- patient Ollie Schuppe
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicare
Record id
0e60156d-05cf-220c-99eb-f4209f120ab9