Claim total
$133.20
base $93.39 · payer covered $106.56
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2012-02-20
- Stop
- 2012-02-20
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-8c43-113f2cff1f9c