Claim total
$219.95
base $93.39 · payer covered $219.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2013-08-14
- Stop
- 2013-08-14
The parties
- Patient
- patient Darla Leigha McCullough
- Provider
- provider Kelvin Reichel
- Payer
- payer Humana
Record id
0b24e9bf-0320-dcd2-4f9d-0f4c012789d8