Claim total
$711.28
base $93.39 · payer covered $558.41
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-07-14
- Stop
- 2014-07-14
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-0a80-0140c13c8f3a