Claim total
$93.72
base $93.39 · payer covered $74.97
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2022-12-12
- Stop
- 2022-12-12
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-0923-16218b26d05e