Claim total
$93.42
base $93.39 · payer covered $58.42
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-11-25
- Stop
- 2021-11-25
The parties
- Patient
- patient Lamar Mark Connelly
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
050746ba-be7e-c592-3f11-93fd5a43ee12