Claim total
$662.34
base $93.39 · payer covered $612.34
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-11-23
- Stop
- 2019-11-23
The parties
- Patient
- patient Gerardo Marvin Johns
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
01513b97-46a6-1303-d060-2dd72f284c95