Claim total
$710.34
base $93.39 · payer covered $568.27
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-10-09
- Stop
- 2024-10-09
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-96aa-ee30ac302556