Claim total
$1,751.84
base $93.39 · payer covered $1,401.46
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-09-28
- Stop
- 2025-09-28
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-b517-2b5356a8e5c0