Claim total
$93.40
base $93.39 · payer covered $74.72
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-11-13
- Stop
- 2020-11-13
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-1990-26d4e6cbd9cc