Claim total
$772.40
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-08-20
- Stop
- 2024-08-20
The parties
- Patient
- patient Gwyn Priscilla Spinka
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
2bcfe7e7-608a-8690-7f1c-9c97f2abd558