Claim total
$184.84
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1993-03-20
- Stop
- 1993-03-20
The parties
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-72d6-3238a924b8dd