Claim total
$144.49
base $93.39 · payer covered $94.49
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-07-10
- Stop
- 2005-07-10
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-e70d-82f9aea4af23