Claim total
$115.62
base $93.39 · payer covered $92.49
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-12-21
- Stop
- 2021-12-21
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-0f09-58f5d301020e