Claim total
$3,098.04
base $155.66 · payer covered $1,188.51
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2026-08-04
- Stop
- 2026-08-04
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-fb86-f94fdd33155e