Claim total
$103.67
base $93.39 · payer covered $82.94
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-11-19
- Stop
- 2016-11-19
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-6f42-af8ee3bde459