Claim total
$2,623.46
base $155.66 · payer covered $2,623.46
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 1998-09-30
- Stop
- 1998-09-30
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-a2c3-7a2f588c00ee