Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1970-12-05
- Stop
- 1970-12-05
The parties
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
26d31827-2350-9e33-4f02-a98ab2eed461