Claim total
$93.56
base $93.39 · payer covered $74.85
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-03
- Stop
- 2017-11-03
The parties
- Patient
- patient Justine Walter Sanford
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
22af1154-23c4-5080-2ba7-6ca18b9ba3f6