Claim total
$703.97
base $93.39 · payer covered $668.97
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-03-07
- Stop
- 2016-03-07
The parties
- Patient
- patient Adrian Isaiah Durgan
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
046903bc-0773-63cf-382e-0d7dbacf9fa6