Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1998-08-12
- Stop
- 1998-08-12
The parties
- Patient
- patient Tillie Zana Jacobi
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
35351f5f-7cc9-c898-2d01-5258a6cb1d80