Claim total
$1,311.48
base $93.39 · payer covered $1,049.17
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2005-06-27
- Stop
- 2005-06-27
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-d3fe-108079ca8d2d