Claim total
$767.25
base $93.39 · payer covered $613.79
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-08-24
- Stop
- 2020-08-24
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-b248-00f1dd759a78