Claim total
$93.42
base $93.39 · payer covered $58.42
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-05-28
- Stop
- 2021-05-28
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
05c57aa9-c3e8-2f04-7b47-6d41a37b1850