Claim total
$265.58
base $93.39 · payer covered $212.46
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2013-09-16
- Stop
- 2013-09-16
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-3da2-e266b1c556fe