Claim total
$900.18
base $93.39 · payer covered $720.13
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2004-08-02
- Stop
- 2004-08-02
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-3ac7-6eb0-62cb0d6e90ca