Claim total
$93.77
base $93.39 · payer covered $75.01
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2012-10-08
- Stop
- 2012-10-08
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-6415-c4a29694c41e