Claim total
$3,883.80
base $155.66 · payer covered $3,883.80
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2012-11-04
- Stop
- 2012-11-04
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-dafe-7c678a979d18