Claim total
$360.29
base $93.39 · payer covered $288.22
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-11-01
- Stop
- 2025-11-02
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Miyoko Botsford
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-3111-d902def10e10