Claim total
$466.78
base $93.39 · payer covered $373.42
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2009-08-23
- Stop
- 2009-08-23
The parties
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-8fcb-c6e99a141b49