Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Start
- 2007-10-06
- Stop
- 2007-10-06
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-3926-878974035955