Claim total
$94.37
base $93.39 · payer covered $44.37
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-05-27
- Stop
- 2018-05-27
The parties
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-e5f8-030321996135