Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1986-11-07
- Stop
- 1986-11-07
The parties
- Patient
- patient Neil David Terry
- Provider
- provider Andria Spinka
- Payer
- payer Medicaid
Record id
218a5e43-1a99-ea3e-156c-53c54b8619ea