Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-01-01
- Stop
- 2025-01-01
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0130f9d2-4df9-4b02-e785-7c173bf03180