Claim total
$93.47
base $93.39 · payer covered $74.77
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-11-23
- Stop
- 2025-11-23
The parties
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-232a-789e148d127d