Claim total
$567.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-11-07
- Stop
- 2018-11-07
The parties
- Patient
- patient Nona Samara Gleichner
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
0042ca65-dd9d-7221-88b2-dd66e76a7457