Claim total
$120.35
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1977-12-05
- Stop
- 1977-12-05
The parties
- Patient
- patient Bo Gino Murazik
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
003af57f-1886-144b-4837-9d4f588855ee