Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-10
- Stop
- 2021-05-10
The parties
- Patient
- patient Albert Gaylord Kiehn
- Provider
- provider Harold Hagenes
Record id
03865fba-8cf7-44f6-36ad-b68d33802252