Claim total
$1,786.04
base $93.39 · payer covered $1,428.82
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-10-25
- Stop
- 2010-10-25
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-3ac7-91f6-1313f333f55d