Claim total
$703.97
base $93.39 · payer covered $563.17
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-10-14
- Stop
- 2018-10-14
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-767c-e4087ec95e6e