Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2009-01-13
- Stop
- 2009-01-13
The parties
- Patient
- patient Jeffry Labadie
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
19aec687-b7f8-9eb6-15aa-fc79f3cac602