Claim total
$141.99
base $93.39 · payer covered $113.59
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-02-06
- Stop
- 2005-02-06
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Amber Yost
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-c064-5b78460b1961