Claim total
$898.74
base $93.39 · payer covered $898.74
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2021-11-16
- Stop
- 2021-11-16
The parties
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
032df52f-9699-4603-a2dd-5b0eb22e6e9d