Claim total
$1,090.88
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1990-03-11
- Stop
- 1990-03-11
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Leta Sipes
- Payer
- payer No insurance
Record id
01c56dba-0d82-4ea3-d887-0d0e1bdc12ec