Claim total
$1,386.39
base $93.39 · payer covered $1,386.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1995-01-06
- Stop
- 1995-01-06
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-6d7f-2f0872fb0b14