Claim total
$575.28
base $93.39 · payer covered $460.22
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-10-08
- Stop
- 2022-10-08
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-0092-985686d33d82