Claim total
$93.82
base $93.39 · payer covered $75.05
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2004-08-16
- Stop
- 2004-08-16
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-00a9-dd7264a90c5d