Claim total
$243.75
base $93.39 · payer covered $195.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-10-22
- Stop
- 2005-10-22
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Claudette Frami
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-6299-f21a53f7bfe5