Claim total
$1,202.60
base $93.39 · payer covered $1,152.60
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-09-05
- Stop
- 2020-09-05
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-f47d-becf0f1e40d9