Claim total
$575.28
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-06-18
- Stop
- 2016-06-18
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-32d3-260a8380eb16