Claim total
$1,036.18
base $93.39 · payer covered $1,001.18
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-05-18
- Stop
- 2022-05-18
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Kim Lind
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-46f6-476a04184ab2