Claim total
$757.81
base $93.39 · payer covered $606.23
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-02-11
- Stop
- 2023-02-11
The parties
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-06b5-77b2bcf651d4