Claim total
$375.50
base $93.39 · payer covered $340.50
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2022-10-05
- Stop
- 2022-10-05
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Antonietta Purdy
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-838f-96af12496c7f