Claim total
$566.96
base $155.66 · payer covered $566.96
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2019-09-02
- Stop
- 2019-09-02
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-5f81-e3ace400e6dd