Claim total
$2,223.80
base $93.39 · payer covered $1,779.04
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1985-03-17
- Stop
- 1985-03-17
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Jonas Pouros
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-6396-62edbfd6da3b