Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2023-03-31
- Stop
- 2023-03-31
The parties
- Patient
- patient Quintin Antonia Schmidt
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
0d7376e6-0f47-a329-32a7-4f3553504c0a