Claim total
$1,570.11
base $93.39 · payer covered $1,256.08
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-06
- Stop
- 2017-11-06
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-0f26-664cc7cd50b7