Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2023-09-12
- Stop
- 2023-09-12
The parties
- Patient
- patient Suzann Iva Bartoletti
- Provider
- provider Willette Hamill
- Payer
- payer Aetna
Record id
11353d0f-c8f7-dd32-9716-ee8223c88536