Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2014-02-19
- Stop
- 2014-02-19
The parties
- Patient
- patient Hubert Carey Donnelly
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
2d78cd30-6b9a-db6f-9f8c-738085c27ba8