Claim total
$377.20
base $93.39 · payer covered $301.76
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-10-09
- Stop
- 2017-10-09
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-b315-6377fc04337a