Claim total
$102.34
base $93.39 · payer covered $67.34
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2026-02-15
- Stop
- 2026-02-15
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-eaee-b7b8b0582c62