Claim total
$95.20
base $93.39 · payer covered $76.16
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-11-07
- Stop
- 2005-11-07
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-c757-c8419dabce65