Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2002-08-09
- Stop
- 2002-08-09
The parties
- Patient
- patient Courtney Mike Bechtelar
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2b8b8833-7186-2e1e-0133-d994b1f7f77f