Claim total
$876.83
base $93.39 · payer covered $826.83
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-03-27
- Stop
- 2016-03-27
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-7be9-d2050dde01a0