Claim total
$94.56
base $93.39 · payer covered $75.65
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-29
- Stop
- 2025-12-29
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-b8ee-e20a0d155569