Claim total
$1,129.13
base $93.39 · payer covered $903.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1993-01-19
- Stop
- 1993-01-19
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-9c85-1ee3f349a8a7