Claim total
$291.66
base $155.66 · payer covered $185.05
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2020-12-27
- Stop
- 2020-12-27
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-3deb-d1752fe3013c