Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1982-04-13
- Stop
- 1982-04-13
The parties
- Patient
- patient Arnold Otha Boyer
- Provider
- provider Vicky Nitzsche
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
20cf8dcb-63b4-1f15-b17b-e43629ce0d89