Claim total
$1,048.21
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1973-01-29
- Stop
- 1973-01-29
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
013d575b-4a77-458a-7cfb-4f2c741c20c8