Claim total
$219.95
base $93.39 · payer covered $219.95
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1995-11-17
- Stop
- 1995-11-17
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-e46d-4864356642e1