Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2020-05-01
- Stop
- 2020-05-01
The parties
- Patient
- patient Lelia Ariana Metz
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
28793fbe-ecef-a924-0985-cbc0f0200138