Claim total
$3,098.04
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2016-09-23
- Stop
- 2016-09-23
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Goldie O'Hara
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0453bbfc-4b53-3293-e6a7-305017096354