Claim total
$142.55
base $93.39 · payer covered $114.04
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-11-13
- Stop
- 2021-11-13
The parties
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-026a-c6c6d890d580