Claim total
$1,122.58
base $93.39 · payer covered $898.06
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-09-03
- Stop
- 2017-09-03
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-b677-46f4a504928d