Claim total
$4,382.21
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2017-02-13
- Stop
- 2017-02-13
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-4b0e-9e0c1a7f95c2