Claim total
$93.52
base $93.39 · payer covered $74.81
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-25
- Stop
- 2017-11-25
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-5801-4193c7acfde2