Claim total
$219.95
base $93.39 · payer covered $153.97
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1987-01-21
- Stop
- 1987-01-21
The parties
- Provider
- provider Burton O'Conner
Record id
20c013b0-a520-1f62-204c-f11f38467055