Claim total
$280.18
base $93.39 · payer covered $245.18
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1970-02-15
- Stop
- 1970-02-15
The parties
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
02b0534d-1cdc-7379-39f2-825430bf7d19