Claim total
$155.66
base $155.66 · payer covered $93.40
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2016-07-26
- Stop
- 2016-07-26
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-9faa-5df635a34168