Claim total
$93.54
base $93.39 · payer covered $74.83
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-06
- Stop
- 2025-12-06
The parties
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-bb3c-5d67724ffe64