Claim total
$830.53
base $93.39 · payer covered $795.53
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-13
- Stop
- 2023-09-13
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Criselda Bartell
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-b853-77994b995acc