Claim total
$157.70
base $93.39 · payer covered $126.16
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2010-01-18
- Stop
- 2010-01-18
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-5d30-7e95bdc86664