Claim total
$900.18
base $93.39 · payer covered $900.18
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-07-08
- Stop
- 2019-07-08
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-ea98-e6063d297b44