Claim total
$767.25
base $93.39 · payer covered $767.25
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-10-15
- Stop
- 2017-10-15
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-bd5d-d56741592c52