Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of rib33737001
- Start
- 2018-01-01
- Stop
- 2018-01-01
The parties
- Patient
- patient Terrell Doyle Heller
- Provider
- provider Malena Wilderman
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0638f9ad-338f-7ad3-0210-407cff8f48a6