Claim total
$767.25
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2004-02-07
- Stop
- 2004-02-07
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
01bbe7d1-151b-3eec-a00f-afb2b26d2125