Claim total
$1,526.57
base $93.39 · payer covered $1,221.25
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-07-15
- Stop
- 2018-07-15
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-a97c-3fee1e83df5c