Claim total
$145.51
base $93.39 · payer covered $116.41
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2003-07-21
- Stop
- 2003-07-21
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-9211-52cf91481df7