Claim total
$703.97
base $93.39 · payer covered $553.97
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1989-06-15
- Stop
- 1989-06-15
The parties
- Patient
- patient Augustus Lyman Schmitt
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
11e13b06-cce6-c88c-36f8-9973d7944dff