Claim total
$221.51
base $93.39 · payer covered $177.21
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-04-09
- Stop
- 2019-04-09
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-045c-325fbf036a78