Claim total
$640.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-02-23
- Stop
- 2019-02-23
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
04f9baea-0c64-12b2-1e6c-45cf2a7e5482