Claim total
$110.42
base $93.39 · payer covered $88.33
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-04-30
- Stop
- 2023-04-30
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-6707-a6f05580a26e