Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Opioid abuse5602001
- Start
- 2014-03-25
- Stop
- 2014-03-25
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-2591-e1b3a5f4f347