Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2012-04-12
- Stop
- 2012-04-12
The parties
- Patient
- patient Darron Luigi Kuhlman
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
2ca6daed-ad8b-5612-326b-8feca821358b