Claim total
$93.44
base $93.39 · payer covered $74.75
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-06-13
- Stop
- 2005-06-13
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-86c6-5ad1d50c166c