Claim total
$95.30
base $93.39 · payer covered $76.24
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-06-23
- Stop
- 2025-06-23
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-2771-9c8841eea77d