Claim total
$1,294.61
base $93.39 · payer covered $1,035.68
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-12-07
- Stop
- 2021-12-07
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-1fe0-588e115ed4a2