Claim total
$1,202.76
base $93.39 · payer covered $962.20
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-07-04
- Stop
- 2021-07-04
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-4771-02d9fe64fa60