Claim total
$909.62
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1996-06-22
- Stop
- 1996-06-22
The parties
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
1ebab170-8a1d-2e20-e446-3aeb6f047905