Claim total
$93.42
base $93.39 · payer covered $58.42
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-21
- Stop
- 2025-12-21
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-55af-fff71e321b5f