Claim total
$1,837.73
base $93.39 · payer covered $1,470.17
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-08-22
- Stop
- 2011-08-22
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-bee0-86c25f0fecc8