Claim total
$1,026.07
base $93.39 · payer covered $1,026.07
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2016-10-25
- Stop
- 2016-10-25
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-a5b4-89f1477d73ea