Claim total
$93.43
base $93.39 · payer covered $74.74
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-04-15
- Stop
- 2023-04-15
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
04f9baea-0c64-12b2-f4cb-9aeb7a91fbf2