Claim total
$813.50
base $93.39 · payer covered $650.80
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-05-01
- Stop
- 2017-05-01
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-dbfd-dfe0eaf2ce3a