Claim total
$915.99
base $93.39 · payer covered $732.79
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-04-15
- Stop
- 2024-04-15
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-c1d6-ff0073f48ae5