Claim total
$469.57
base $93.39 · payer covered $375.65
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2010-07-04
- Stop
- 2010-07-04
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-c1a6-9c9c38b28e8c