Claim total
$969.86
base $93.39 · payer covered $934.86
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-06-03
- Stop
- 2020-06-03
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Rosio Gleason
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-249e-14291952cef3