Claim total
$93.91
base $93.39 · payer covered $58.91
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-06-14
- Stop
- 2021-06-14
The parties
- Patient
- patient María del Carmen Berríos
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
016a1a5e-4450-7aaa-f288-6aac1092185c