Claim total
$129.01
base $93.39 · payer covered $103.21
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-04-25
- Stop
- 2017-04-25
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Amber Yost
- Payer
- payer Medicare
Record id
0274bb53-c777-eb96-45be-0286edc43694