Claim total
$1,489.11
base $93.39 · payer covered $1,191.28
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-02-26
- Stop
- 2019-02-26
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-0110-28d1ec1b5947