Claim total
$972.90
base $93.39 · payer covered $922.90
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1999-03-09
- Stop
- 1999-03-09
The parties
- Patient
- patient Marcelo Roland Daniel
- Provider
- provider Marget Brown
- Payer
- payer Medicaid
Record id
172af60a-c1b7-eaec-f071-35e43148d59a