Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-17
- Stop
- 2021-04-17
The parties
- Patient
- patient Louis Lowe
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0133e229-9af3-5afb-e4fd-2ee71f19062c