Claim total
$1,042.55
base $93.39 · payer covered $625.53
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-05-17
- Stop
- 2021-05-17
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-cc74-961b4ba4ad11