Claim total
$281.69
base $93.39 · payer covered $225.35
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-04-12
- Stop
- 2021-04-12
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-1bef-868d6f30ec94