Claim total
$985.36
base $93.39 · payer covered $788.28
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2015-12-09
- Stop
- 2015-12-09
The parties
- Patient
- patient Karen Yesenia Ledner
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
13beb361-b7b4-8b75-d715-e097dac2813b