Claim total
$2,504.00
base $93.39 · payer covered $2,469.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-09-21
- Stop
- 2022-09-21
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Kelvin Reichel
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-ed8e-aa7551f87b0d