Claim total
$694.53
base $93.39 · payer covered $555.61
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-04-10
- Stop
- 2019-04-10
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-7070-281f55093066