Claim total
$1,408.29
base $93.39 · payer covered $1,126.61
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-05-31
- Stop
- 2021-05-31
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-fa18-65f25659b14f