Claim total
$1,178.55
base $93.39 · payer covered $942.83
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2015-07-14
- Stop
- 2015-07-14
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-2b67-bfd114b2d509