Claim total
$532.08
base $93.39 · payer covered $372.45
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2017-03-05
- Stop
- 2017-03-05
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-21c4-26b5517d30cd