Claim total
$779.71
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1979-01-24
- Stop
- 1979-01-24
The parties
- Patient
- patient Demarcus Lou Glover
- Provider
- provider Nanette Haley
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
3855869e-be01-bc52-b054-1c1d482e2fd1