Claim total
$3,098.04
base $155.66 · payer covered $2,478.43
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2018-02-25
- Stop
- 2018-02-25
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Goldie O'Hara
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-f413-d029ab9af357