Claim total
$15,068.25
base $155.66 · payer covered $15,068.25
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-08-09
- Stop
- 2018-08-09
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-2036-6a4af51e904c