Claim total
$93.40
base $93.39 · payer covered $74.72
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-09-14
- Stop
- 2024-09-14
The parties
- Provider
- provider Chance Wisoky
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-e2be-2bd34d84e127