Claim total
$2,623.46
base $155.66 · payer covered $602.15
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2026-09-11
- Stop
- 2026-09-11
The parties
- Patient
- patient Jared Lenard Hansen
- Provider
- provider Catalina Weimann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Aetna
Record id
047ee4ec-c50b-b504-1b85-44fef961482f