Claim total
$1,604.92
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1967-07-24
- Stop
- 1967-07-24
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
01d0b380-425a-3ac7-beab-9c83c509f9c9