Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2025-02-05
- Stop
- 2025-02-05
The parties
- Patient
- patient Rick Ebert
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
2deee42b-bc97-11cf-5404-04855cf3eb67