Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1996-01-10
- Stop
- 1996-01-10
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-959c-7c058ea40440