Claim total
$101.67
base $93.39 · payer covered $81.33
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-10-15
- Stop
- 2018-10-15
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-0a6c-89dd46a39795