Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2000-02-06
- Stop
- 2000-02-06
The parties
- Patient
- patient Benedict Alvin Armstrong
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
2c61caa8-0470-e3a1-9c71-570d0f14c08b