Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-01
- Stop
- 2021-03-01
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-bc5e-fb7154a0c470