Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1964-03-02
- Stop
- 1964-03-02
The parties
- Patient
- patient Evan Mario Spinka
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
22ab5e98-47e0-5217-7ccb-294a760f79c6