Claim total
$98.43
base $93.39 · payer covered $78.74
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-09-15
- Stop
- 2024-09-15
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
048ae427-86b6-6ce9-bb89-5fd5909fe91d