Claim total
$236.19
base $93.39 · payer covered $201.19
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-03-07
- Stop
- 2025-03-07
The parties
- Patient
- patient Efren Wilderman
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
0400ef40-232f-be7a-2716-b1dbceed4c4f