Claim total
$900.18
base $93.39 · payer covered $137.19
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2015-06-10
- Stop
- 2015-06-10
The parties
- Patient
- patient Christel Torp
- Provider
- provider Silas Conn
Record id
00edd987-99b7-13d9-8e4d-031dc3e00dec