Claim total
$117.91
base $93.39 · payer covered $94.33
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-06-17
- Stop
- 2024-06-17
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-95b0-09a77310d3d8