Claim total
$9,016.07
base $93.39 · payer covered $7,028.01
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2012-06-21
- Stop
- 2012-06-21
The parties
- Patient
- patient Dylan Mante
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
1d345bd8-58e2-79a2-5211-b6233465f7a3