Claim total
$229.39
base $93.39 · payer covered $179.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1977-09-24
- Stop
- 1977-09-24
The parties
- Patient
- patient Irving Steve Legros
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
02796652-7893-0df9-2cfb-75bf03ace32a