Claim total
$75.00
base $75.00 · payer covered $52.50
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2020-05-02
- Stop
- 2020-05-02
The parties
- Patient
- patient Verdell Williamson
- Provider
- provider Irmgard Padberg
Record id
1cc37978-f9b8-d078-4964-f0d4a0cc8d9f