Claim total
$957.61
base $93.39 · payer covered $907.61
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2024-02-10
- Stop
- 2024-02-10
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-abc1-3843706d440d