Claim total
$640.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-01-01
- Stop
- 2019-01-01
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
02aef5a1-9ba3-229b-feec-2b2a50bcb6c0