Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-10-01
- Stop
- 2021-10-01
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-b666-3a762a77bd2f