Claim total
$299.04
base $93.39 · payer covered $299.04
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-07-30
- Stop
- 2017-07-30
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-9743-7fa6849a7cd1