Claim total
$1,323.67
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1961-12-05
- Stop
- 1961-12-05
The parties
- Patient
- patient Jamal Barry Funk
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
19b3aec3-eaf6-e809-5407-99fd626af913