Claim total
$990.34
base $93.39 · payer covered $955.34
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-03-14
- Stop
- 2018-03-14
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-dab4-aeffa2448b17