Claim total
$978.26
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2019-05-31
- Stop
- 2019-05-31
The parties
- Patient
- patient Florinda Suzanna Lehner
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
05d39322-006c-95d6-efe7-95160a34786c