Claim total
$589.74
base $93.39 · payer covered $539.74
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-11-03
- Stop
- 2024-11-03
The parties
- Patient
- patient Abdul Sammie Spencer
- Provider
- provider Aisha Corwin
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
009b9fb1-8515-f33d-8ba3-9a0192e7b85e