Claim total
$93.63
base $93.39 · payer covered $58.63
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-08-31
- Stop
- 2025-08-31
The parties
- Patient
- patient Connie Buck Hane
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
02070c62-d383-1025-4a75-a05408c203e2