Claim total
$93.43
base $93.39 · payer covered $58.43
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-01-05
- Stop
- 2025-01-05
The parties
- Provider
- provider Heriberto Smitham
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-a5f0-f5ced312f6e9