Claim total
$93.45
base $93.39 · payer covered $74.76
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-11-28
- Stop
- 2005-11-28
The parties
- Patient
- patient Jeanmarie Jann Bogisich
- Provider
- provider Amber Yost
- Payer
- payer Medicare
Record id
17e1c4cb-44e4-7484-4e1a-01c9694380b6