Claim total
$75.72
base $75.00 · payer covered $25.72
The visit
- Class
- Virtual
- Code
- 185317003
- Reason
- —
- Start
- 2022-09-12
- Stop
- 2022-09-12
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-fb7d-241b9252e1b1