Claim total
$1,013.81
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2024-07-26
- Stop
- 2024-07-26
The parties
- Patient
- patient Carolynn Gabriele Zemlak
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
032e4024-8595-f612-d124-8694abe01735