Claim total
$1,268.23
base $93.39 · payer covered $906.53
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-03-31
- Stop
- 2016-03-31
The parties
- Patient
- patient Karie Schultz
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
2ea550a0-4b81-96d6-93ae-9bf2fb73382c