Claim total
$884.06
base $93.39 · payer covered $707.24
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-05-31
- Stop
- 2017-05-31
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-d086-facca5037dd1