Claim total
$9,395.79
base $127.17 · payer covered $2,746.60
The visit
- Class
- Inpatient
- Code
- 183495009
- Reason
- diagnosis concept Injury of medial collateral ligament of knee444448004
- Start
- 2019-11-09
- Stop
- 2019-11-11
The parties
- Patient
- patient Terrell Doyle Heller
- Provider
- provider Marybeth Cronin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0638f9ad-338f-7ad3-a914-cde56e417564