Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1992-05-19
- Stop
- 1992-05-19
The parties
- Patient
- patient Winford Jermaine Bode
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
32a7c5c0-d154-0176-0315-49c1446fbdb5