Claim total
$669.06
base $93.39 · payer covered $535.25
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-10-26
- Stop
- 2020-10-27
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-d591-d3f75bf87291