Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2023-04-21
- Stop
- 2023-04-21
The parties
- Patient
- patient Ginger Jamie Feil
- Provider
- provider Liz Kozey
- Payer
- payer Medicaid
Record id
291eef3f-a432-2174-d436-0d39b5f1bada