Claim total
$212.95
base $93.39 · payer covered $170.36
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-03-26
- Stop
- 2018-03-26
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-0aef-5f4b82671368