Claim total
$776.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-11-07
- Stop
- 2025-11-07
The parties
- Patient
- patient Florinda Suzanna Lehner
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
05d39322-006c-95d6-1f0f-aacdcfbee30b