Claim total
$694.53
base $93.39 · payer covered $416.72
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-07-31
- Stop
- 2011-07-31
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-3264-79863d4b9d74