Claim total
$2,841.07
base $155.66 · payer covered $1,530.10
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2017-05-15
- Stop
- 2017-05-15
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-e5c9-79083d9d02bb