Claim total
$835.68
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-08-28
- Stop
- 2011-08-28
The parties
- Patient
- patient Jolyn Lizette Keeling
- Provider
- provider Ross Stehr
- Payer
- payer No insurance
Record id
28d785bf-7b54-eb32-7aed-08147b3ec98d