Claim total
$97.54
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2012-04-02
- Stop
- 2012-04-02
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-3ac7-51fc-64e308f25063