Claim total
$398.55
base $93.39 · payer covered $318.84
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2011-02-05
- Stop
- 2011-02-05
The parties
- Provider
- provider Michael Dibbert
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-b363-29d4e3487552