Claim total
$94.18
base $93.39 · payer covered $44.18
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-10-26
- Stop
- 2025-10-26
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-9e36-acf85e28670f