Claim total
$7,185.17
base $93.39 · payer covered $7,150.17
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1984-03-08
- Stop
- 1984-03-08
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Hazel Effertz
- Payer
- payer Dual Eligible
Record id
04371635-b149-02a5-b281-1f9d28ef8aa0