Claim total
$985.36
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1954-11-24
- Stop
- 1954-11-24
The parties
- Patient
- patient Ivory Sang Bergnaum
- Provider
- provider Akilah Senger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
27eacba2-3581-8cec-a0e8-f3c4b24fc181