Claim total
$219.95
base $93.39 · payer covered $184.95
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-08-04
- Stop
- 2021-08-04
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Kelvin Reichel
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-a8cb-ea9f19fcc223