Claim total
$1,260.52
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2021-04-15
- Stop
- 2021-04-15
The parties
- Patient
- patient Angelo Muller
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
036bf274-5bd6-d003-ec93-cae4cdd14ba0