Claim total
$909.62
base $93.39 · payer covered $859.62
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1995-02-09
- Stop
- 1995-02-09
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
01e64c71-bb1e-2212-008f-9c8b95151ec6