Claim total
$1,095.13
base $93.39 · payer covered $876.11
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2015-03-15
- Stop
- 2015-03-15
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-9ec2-7f7a8b1de042