Claim total
$95.72
base $93.39 · payer covered $76.57
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1984-06-30
- Stop
- 1984-06-30
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-8104-1f13b7156e0a