Claim total
$99.79
base $93.39 · payer covered $79.83
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2011-09-05
- Stop
- 2011-09-05
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-41a1-03294bdd5060