Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2005-01-08
- Stop
- 2005-01-08
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
03eafe4d-23cd-eb61-77eb-19ee4cbbc8d4