Claim total
$910.56
base $93.39 · payer covered $860.56
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2008-03-27
- Stop
- 2008-03-27
The parties
- Patient
- patient Cathryn Kandy Smith
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
038ad96a-9908-2f0d-16fa-23210a80df74