Claim total
$1,203.27
base $93.39 · payer covered $1,053.27
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1980-01-08
- Stop
- 1980-01-08
The parties
- Patient
- patient Courtney Mike Bechtelar
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2b8b8833-7186-2e1e-1737-8374c2ba1bbe