Claim total
$1,042.55
base $93.39 · payer covered $992.55
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-03-16
- Stop
- 2025-03-16
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Julia Dueñas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-2f71-e3ce5f8094c8