Claim total
$291.66
base $155.66 · payer covered $256.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-12
- Stop
- 2021-05-12
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Kim Lind
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-dd10-64f97ac23a3b