Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-11-09
- Stop
- 2023-11-09
The parties
- Patient
- patient Salvador Hernán Marrero
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
003934f5-fa99-8d07-bf0c-9f8b3c6c1172