Claim total
$248.86
base $93.39 · payer covered $199.09
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-09-06
- Stop
- 2018-09-06
The parties
- Patient
- patient Lamar Mark Connelly
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
050746ba-be7e-c592-2937-2928a2f160e2