Claim total
$3,098.04
base $155.66 · payer covered $2,478.43
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2020-05-15
- Stop
- 2020-05-15
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-fac8-b680b48dded7