Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1995-03-14
- Stop
- 1995-03-14
The parties
- Patient
- patient Gregg Thanh Casper
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
0f8a82e6-c6ea-0ec7-3191-d7c6d0af0019