Claim total
$903.15
base $93.39 · payer covered $903.15
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2017-01-27
- Stop
- 2017-01-27
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-2475-dc9c395df345