Claim total
$757.81
base $93.39 · payer covered $722.81
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-07
- Stop
- 2025-12-07
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-3c9b-a02fd1695b06