Claim total
$8,873.17
base $93.39 · payer covered $7,098.53
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2002-01-28
- Stop
- 2002-01-28
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-2deb-4161d4ec2b41