Claim total
$3,098.04
base $155.66 · payer covered $858.10
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2024-06-15
- Stop
- 2024-06-15
The parties
- Patient
- patient Bo Gino Murazik
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
003af57f-1886-144b-7ace-cdadb89deb87