Claim total
$1,459.71
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-02-13
- Stop
- 2017-02-13
The parties
- Patient
- patient Bo Gino Murazik
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
003af57f-1886-144b-4a45-d4bbff2d86c5