Claim total
$767.25
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-13
- Stop
- 2017-11-13
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0453bbfc-4b53-3293-59b4-0e9f2aa598c3