Claim total
$1,292.92
base $93.39 · payer covered $1,257.92
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-05-09
- Stop
- 2018-05-09
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Lovie Turcotte
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-1332-e7ba18c8f32f