Claim total
$575.28
base $93.39 · payer covered $460.22
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-09-08
- Stop
- 2024-09-08
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
048ae427-86b6-6ce9-81c2-e3b66a315d36