Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-15
- Stop
- 2021-03-15
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-91f9-8a760a01bdff