Claim total
$521.85
base $93.39 · payer covered $417.48
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1991-07-28
- Stop
- 1991-07-28
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Jong King
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-9314-12481add7a3d