Claim total
$711.28
base $93.39 · payer covered $676.28
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-01-02
- Stop
- 2017-01-02
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-61e4-7c40db57ecb8