Claim total
$1,517.13
base $93.39 · payer covered $910.28
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-07-04
- Stop
- 2010-07-04
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-a9bf-b1ea40ea181a