Claim total
$419.61
base $93.39 · payer covered $335.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2008-04-17
- Stop
- 2008-04-18
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Heriberto Smitham
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-e966-04910026d39a