Claim total
$1,460.83
base $93.39 · payer covered $1,410.83
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-02-09
- Stop
- 2025-02-09
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-695c-86a8ed2fd236