Claim total
$567.97
base $93.39 · payer covered $454.37
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-12-03
- Stop
- 2022-12-03
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-893b-aa42cef85883