Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2023-06-17
- Stop
- 2023-06-17
The parties
- Patient
- patient Marvin Adrian Marquardt
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
33f3e96c-a0f1-4ae5-eaa5-6d251c6d0afd