Claim total
$219.95
base $93.39 · payer covered $219.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2007-08-14
- Stop
- 2007-08-14
The parties
- Patient
- patient Guadalupe Andres Mayert
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
1710a38f-72a0-b102-f2db-6867639dfef3