Claim total
$1,240.90
base $93.39 · payer covered $992.72
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-12-23
- Stop
- 2024-12-23
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-41d8-b6421c3fb63e