Claim total
$96.09
base $93.39 · payer covered $76.87
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-10-14
- Stop
- 2018-10-14
The parties
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-dfd7-9e9d11fdedfd