Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2021-01-21
- Stop
- 2021-01-21
The parties
- Patient
- patient Herbert Dorian Hickle
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0eddbb62-87a6-7f0d-d341-fc471ae804f9