Claim total
$2,623.46
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2019-03-31
- Stop
- 2019-03-31
The parties
- Patient
- patient Bo Gino Murazik
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
003af57f-1886-144b-c7ec-adf6c72c66a5