Claim total
$1,875.41
base $93.39 · payer covered $1,500.31
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2009-11-02
- Stop
- 2009-11-02
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-2f0b-556e2826c94a