Claim total
$774.56
base $93.39 · payer covered $542.20
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-03-16
- Stop
- 2026-03-16
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Leta Sipes
Record id
017647b2-914f-2bdf-ddd8-6d04f7fa26d3