Claim total
$454.96
base $93.39 · payer covered $363.97
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1990-07-28
- Stop
- 1990-07-28
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Claudette Frami
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-2f56-c32da894aa28