Claim total
$93.70
base $93.39 · payer covered $74.96
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-06-20
- Stop
- 2019-06-21
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-6dcc-799f9a396a0e