Claim total
$1,212.29
base $155.66 · payer covered $1,212.29
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2016-11-14
- Stop
- 2016-11-14
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-3a0f-d02d2f8d3516