Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1986-06-03
- Stop
- 1986-06-04
The parties
- Patient
- patient Kristin Latrice Keebler
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
2ce0929e-53d1-6ae1-7910-cc74620940e9