Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-02-13
- Stop
- 2021-02-13
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Quintin Muller
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-6fad-ea115b5cac38