Claim total
$296.80
base $93.39 · payer covered $237.44
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-07-18
- Stop
- 2021-07-18
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-e083-c89d58cd7bce