Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1987-07-23
- Stop
- 1987-07-23
The parties
- Patient
- patient Kirk Jermaine Renner
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
07d0ff26-12eb-835d-f075-f1289c8cb13c