Claim total
$138.81
base $93.39 · payer covered $111.04
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2007-09-09
- Stop
- 2007-09-09
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Jong King
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-516f-7afd61c9092b