Claim total
$118.46
base $93.39 · payer covered $94.77
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-11-25
- Stop
- 2019-11-25
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-1ccc-ad84448cbee0