Claim total
$93.57
base $93.39 · payer covered $74.85
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1992-01-14
- Stop
- 1992-01-14
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-4f74-5c295d17d562