Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-21
- Stop
- 2021-03-21
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Harold Hagenes
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-2cfd-ed56b36d5e5d