Claim total
$1,398.18
base $93.39 · payer covered $1,118.55
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2013-05-28
- Stop
- 2013-05-28
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
019cda32-2557-7f65-c914-3fe58791ba84