Claim total
$640.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-05-04
- Stop
- 2019-05-04
The parties
- Patient
- patient Terrell Doyle Heller
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0638f9ad-338f-7ad3-8a11-0d38bd4f6d7b