Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-21
- Stop
- 2021-04-21
The parties
- Patient
- patient Carolee Shenna Franecki
- Provider
- provider Liz Kozey
Record id
05da998f-3dd0-aeca-a477-292969fbe07c