Claim total
$313.58
base $93.39 · payer covered $250.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-10-19
- Stop
- 2025-10-19
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
034e20ab-aae7-ddf8-8c2d-46cf77dd6772