Claim total
$830.53
base $93.39 · payer covered $498.32
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-07-31
- Stop
- 2017-07-31
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-019e-4461f145df1b