Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-03-12
- Stop
- 2026-03-12
The parties
- Patient
- patient Daron Cormier
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
061edbc8-fb70-a6fd-6eea-505953547dd5