Claim total
$95.70
base $93.39 · payer covered $76.56
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2013-10-14
- Stop
- 2013-10-14
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-4d32-23a744a67faf