Claim total
$93.57
base $93.39 · payer covered $58.57
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1979-03-30
- Stop
- 1979-03-30
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Michael Dibbert
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-8e41-d5197dc29f81