Claim total
$219.95
base $93.39 · payer covered $219.95
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-08-26
- Stop
- 2019-08-26
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-01bb-59b9d86b4670