Claim total
$130.02
base $93.39 · payer covered $104.01
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2010-02-22
- Stop
- 2010-02-22
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-6cbf-3b0aaae327e9