Claim total
$93.40
base $93.39 · payer covered $93.40
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-08-18
- Stop
- 2020-08-18
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02aef5a1-9ba3-229b-4b11-65fc7e849713