Claim total
$294.17
base $93.39 · payer covered $259.17
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-01-23
- Stop
- 2021-01-23
The parties
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-7dce-b80a7503f76e