Claim total
$93.53
base $93.39 · payer covered $58.53
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-10-28
- Stop
- 2017-10-28
The parties
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-cb6d-ec8a26e30b3f