Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-07
- Stop
- 2021-03-07
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
048ae427-86b6-6ce9-330f-50f8e6ae8368