Claim total
$837.84
base $93.39 · payer covered $787.84
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-09-13
- Stop
- 2018-09-13
The parties
- Patient
- patient Cathryn Kandy Smith
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
038ad96a-9908-2f0d-f7f1-63dbc9fddc2d