Claim total
$93.44
base $93.39 · payer covered $43.44
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-11-20
- Stop
- 2024-11-20
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicaid
Record id
0324eea5-bb16-c29a-7128-79865ccea82f