Claim total
$93.46
base $93.39 · payer covered $74.77
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-11-12
- Stop
- 2018-11-12
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-e6fb-6548cff995c0