Claim total
$93.90
base $93.39 · payer covered $75.12
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-11-25
- Stop
- 2023-11-25
The parties
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-233c-97a94a63f451