Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of ankle16114001
- Start
- 2018-03-16
- Stop
- 2018-03-16
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-4d8c-1e5775a4f479