Claim total
$93.45
base $93.39 · payer covered $74.76
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-11-08
- Stop
- 2018-11-08
The parties
- Patient
- patient Lamar Mark Connelly
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
050746ba-be7e-c592-3d73-a37ef1f4cfff