Claim total
$1,738.47
base $155.66 · payer covered $1,043.09
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2017-08-14
- Stop
- 2017-08-14
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-b0a6-75b9086526a1