Claim total
$963.46
base $93.39 · payer covered $674.44
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1996-03-29
- Stop
- 1996-03-29
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-a8a0-b09f86f773af