Claim total
$95.32
base $93.39 · payer covered $76.25
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-01-17
- Stop
- 2005-01-17
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-3ac7-2b52-1b606c99a1c6