Claim total
$93.43
base $93.39 · payer covered $74.74
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-11-02
- Stop
- 2018-11-02
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-b279-0dbd69e4bc08