Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-10-01
- Stop
- 2021-10-01
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-e8de-771e2e562ffb