Claim total
$335.89
base $93.39 · payer covered $268.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-10-18
- Stop
- 2017-10-18
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03d7ab8f-b989-4d49-b32f-253a2904a993