Claim total
$93.73
base $93.39 · payer covered $74.98
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-04-22
- Stop
- 2024-04-22
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-29e3-dc000e4d1fa4