Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2008-11-03
- Stop
- 2008-11-03
The parties
- Patient
- patient Hortensia Hedwig Johnson
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0aaf4f74-ced4-523a-6567-00fef843ccc9