Claim total
$75.00
base $75.00 · payer covered $25.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2021-05-27
- Stop
- 2021-05-27
The parties
- Patient
- patient Shonda Walter
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
14dd6e6e-6ed9-7c6c-b745-664e21f67388