Claim total
$94.54
base $93.39 · payer covered $75.63
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-04-01
- Stop
- 2019-04-01
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-f652-fe58d8e82b79