Claim total
$93.64
base $93.39 · payer covered $58.64
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-02-26
- Stop
- 2025-02-26
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Jong King
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-d747-8007c71286c5