Claim total
$1,131.98
base $93.39 · payer covered $1,131.98
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2011-09-11
- Stop
- 2011-09-12
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-d26a-fe55fefc941e