Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2018-09-07
- Stop
- 2018-09-07
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Willette Hamill
- Payer
- payer Medicaid
Record id
062e401f-723c-d87d-7350-5f5cf0034a9a