Claim total
$93.76
base $93.39 · payer covered $58.76
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2026-03-22
- Stop
- 2026-03-22
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-e078-9c8ce927ecea