Claim total
$2,322.08
base $93.39 · payer covered $1,857.67
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1990-08-19
- Stop
- 1990-08-19
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-fdb0-087b81406a49