Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2014-07-30
- Stop
- 2014-07-30
The parties
- Patient
- patient Weldon Normand Rohan
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
07811815-599c-8e38-a926-27c0b29e83e4