Claim total
$979.04
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-02-01
- Stop
- 2022-02-01
The parties
- Patient
- patient Nicholas Aron Ferry
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
00710614-34f5-5b84-3e2b-e12644028bf0