Claim total
$179.05
base $93.39 · payer covered $143.24
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2006-12-04
- Stop
- 2006-12-04
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-25c3-e1b42e8783bd