Claim total
$75.00
base $75.00 · payer covered $52.50
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2020-08-19
- Stop
- 2020-08-19
The parties
- Patient
- patient Fritz Josef Hyatt
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
1b3cc7cb-244a-cf5c-432a-4d1743e532c6