Claim total
$75.00
base $75.00 · payer covered $52.50
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2026-01-10
- Stop
- 2026-01-10
The parties
- Patient
- patient Clara McLaughlin
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
2d01a22b-1cf7-111e-c57c-f04cfbbb8ca0