Claim total
$1,455.86
base $93.39 · payer covered $1,420.86
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-07-02
- Stop
- 2025-07-02
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Andria Spinka
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-95ff-990be121df80