Claim total
$1,437.58
base $93.39 · payer covered $1,437.58
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2015-10-17
- Stop
- 2015-10-17
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-3d88-b5b1fd0797e5