Claim total
$13,899.30
base $93.39 · payer covered $9,953.03
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-10-28
- Stop
- 2010-10-28
The parties
- Patient
- patient Curtis Aubrey Howe
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
10d92ea2-fcd5-f0bc-4f60-a6fe5bfe6984