Claim total
$124.80
base $93.39 · payer covered $99.84
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1993-10-11
- Stop
- 1993-10-11
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-fc42-a4ec2f3dbb50