Claim total
$93.54
base $93.39 · payer covered $74.83
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-13
- Stop
- 2017-11-13
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-2f45-da7a525d83b4