Claim total
$1,167.89
base $93.39 · payer covered $1,167.89
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1996-09-27
- Stop
- 1996-09-27
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-7e5f-3dc03db2cf56