Claim total
$236.70
base $93.39 · payer covered $189.36
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2013-05-21
- Stop
- 2013-05-21
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
019cda32-2557-7f65-9d09-f473cf4ebcb9