Claim total
$219.95
base $93.39 · payer covered $131.97
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2014-05-07
- Stop
- 2014-05-07
The parties
- Patient
- patient Roger Lakin
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
23f088c7-c8f5-3aa8-6c9f-40f03ff78773