Claim total
$94.86
base $93.39 · payer covered $75.89
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2022-06-20
- Stop
- 2022-06-20
The parties
- Patient
- patient María del Carmen Berríos
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
016a1a5e-4450-7aaa-752a-1574b63cca9a