Claim total
$1,318.93
base $93.39 · payer covered $1,055.15
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2022-06-06
- Stop
- 2022-06-07
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-5593-b60ffbd06447