Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2026-04-14
- Stop
- 2026-04-14
The parties
- Patient
- patient Iona Emmerich
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
03622442-8577-b4cb-cb2b-5718b65ba537