Claim total
$93.55
base $93.39 · payer covered $58.55
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-10-22
- Stop
- 2016-10-22
The parties
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-5b4b-5c634e800c3c