Claim total
$971.36
base $93.39 · payer covered $582.81
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2011-08-30
- Stop
- 2011-08-30
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-edb0-4a6cb0e1724d