Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2023-11-09
- Stop
- 2023-11-09
The parties
- Patient
- patient Percy Dwight Hamill
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
2a6420b9-f515-a0d3-d553-e8254baf1466