Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-09-10
- Stop
- 2021-09-10
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-bd01-d616cb797827