Claim total
$93.67
base $93.39 · payer covered $43.67
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-03-04
- Stop
- 2020-03-04
The parties
- Patient
- patient Ángela Carlota Lovato
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0465c17f-66cb-2155-2654-d18d6e5c6ba9