Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2017-01-01
- Stop
- 2017-01-01
The parties
- Patient
- patient Mikel Edmond Wisoky
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
2973ea9a-f1cd-e339-fac0-f1c02dbfc8a4