Claim total
$317.25
base $93.39 · payer covered $253.80
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1984-10-01
- Stop
- 1984-10-01
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-1a91-e25afcd337b0