Claim total
$1,327.29
base $93.39 · payer covered $1,292.29
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-06-25
- Stop
- 2023-06-25
The parties
- Provider
- provider Damien Langosh
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-e958-e1b793cc98aa