Claim total
$391.27
base $93.39 · payer covered $356.27
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-04-25
- Stop
- 2023-04-25
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
019cda32-2557-7f65-8498-f4265697cb0d