Claim total
$95.35
base $93.39 · payer covered $76.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-11-17
- Stop
- 2024-11-17
The parties
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-255f-d84346bd662a