Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2018-09-09
- Stop
- 2018-09-09
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Leta Sipes
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-ca0f-3fedb31e9de5