Claim total
$566.96
base $155.66 · payer covered $531.96
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-07-21
- Stop
- 2018-07-21
The parties
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-e869-2995fd16f4c2