Claim total
$93.41
base $93.39 · payer covered $74.73
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2007-01-01
- Stop
- 2007-01-01
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-09b4-3656e2096fe3