Claim total
$708.58
base $93.39 · payer covered $708.58
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2017-06-04
- Stop
- 2017-06-04
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-c7a9-4fa7-465c341ce0fc