Claim total
$93.51
base $93.39 · payer covered $58.51
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-05-18
- Stop
- 2021-05-18
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Amber Yost
- Payer
- payer Dual Eligible
Record id
0274bb53-c777-eb96-3b47-8fc80d2cdc33