Claim total
$1,424.72
base $93.39 · payer covered $1,139.76
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2008-07-07
- Stop
- 2008-07-07
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-0b67-b683364038ff