Claim total
$1,115.27
base $93.39 · payer covered $892.21
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-02-06
- Stop
- 2023-02-06
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-3581-823cb325d16b