Claim total
$93.43
base $93.39 · payer covered $58.43
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1976-03-12
- Stop
- 1976-03-12
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-46fc-ebb498047a53