Claim total
$93.61
base $93.39 · payer covered $74.89
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2013-10-28
- Stop
- 2013-10-28
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-3ac7-5e10-832297d57d36