Claim total
$94.55
base $93.39 · payer covered $44.55
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1986-03-23
- Stop
- 1986-03-23
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-b627-f0666b6b01c3