Claim total
$1,254.29
base $93.39 · payer covered $1,003.42
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-12-08
- Stop
- 2017-12-08
The parties
- Patient
- patient Sun Katie Cartwright
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
1c24f7dc-185e-7419-29e1-0becb1f15f6f