Claim total
$219.95
base $93.39 · payer covered $131.97
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2024-08-25
- Stop
- 2024-08-25
The parties
- Patient
- patient Slyvia Kymberly Dibbert
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
1263b62e-c014-f602-12cb-ce2e87ab3082