Claim total
$1,975.05
base $93.39 · payer covered $1,580.05
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2015-02-28
- Stop
- 2015-02-28
The parties
- Provider
- provider Michael Dibbert
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-1544-b64133828866