Claim total
$93.47
base $93.39 · payer covered $43.47
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-11
- Stop
- 2017-11-11
The parties
- Patient
- patient Gerardo Marvin Johns
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
01513b97-46a6-1303-a9f0-d650cc4f8d06