Claim total
$219.95
base $93.39 · payer covered $153.97
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2016-07-02
- Stop
- 2016-07-02
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-c9a7-b4c1d760cf1b