Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-05-23
- Stop
- 2022-05-23
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-9edb-c8c1c53bbefe