Claim total
$256.96
base $93.39 · payer covered $221.96
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-07-02
- Stop
- 2018-07-02
The parties
- Provider
- provider Janette Fisher
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-5c77-134b62c9d4ea