Claim total
$291.66
base $155.66 · payer covered $241.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-10
- Stop
- 2021-04-10
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-3090-813c2b945541